Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.15 / $156.15 / $178.75	Facility	26	$53.15	$156.15	$178.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.13 / $475.00 / $700.00	Professional		$208.13	$475.00	$700.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.15 / $140.00 / $322.00	Professional	26	$53.15	$140.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.97 / $335.00 / $557.00	Professional	TC	$154.97	$335.00	$557.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $151.47 / $333.03	Professional		$40.53	$151.47	$333.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $600.40 / $915.01	Professional		$218.00	$600.40	$915.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.52 / $76.76 / $109.69	Professional	26	$49.52	$76.76	$109.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $160.30 / $532.50 / $787.17	Professional	TC	$160.30	$532.50	$787.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $69.34 / $306.47	Professional		$32.34	$69.34	$306.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.73 / $566.08 / $809.24	Professional		$287.73	$566.08	$809.24
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $51.92 / $78.98 / $109.69	Professional	26	$51.92	$78.98	$109.69
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $161.50 / $532.50 / $787.17	Professional	TC	$161.50	$532.50	$787.17
United Facility/Professional Professional Modifier Low / Median / High Price $211.67 / $489.90 / $781.85	Professional		$211.67	$489.90	$781.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.16 / $55.92 / $134.30	Professional	26	$49.16	$55.92	$134.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.52 / $415.58 / $684.48	Professional	TC	$159.52	$415.58	$684.48